2022-02-03T14:10:29-06:00 2021-06-30 390859910 BAKER TILLY US LLP 1500 RXR PLAZA WEST TOWER UNIONDALE NY 11556 990 2020-07-01 113037708 DOMINICAN VILLAGE INC DOMI 6318426091 565 ALBANY AVENUE AMITYVILLE NY 11701 ERIC KALT PRESIDENT / CEO 6318426091 2022-01-04 1 ERIC KALT XXX-XX-XXXX ELLEN M LABITA CPA P00140777 6317527400 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ERIC KALT 565 ALBANY AVENUE AMITYVILLE NY 11701 13699817 0 X WWW.DOMINICANVILLAGE.ORG X 1990 NY A HOUSING FACILITY FOR PERSONS WHO, BECAUSE OF AGE, ILLNESS OR INFIRMITY REQUIRE ADDITIONAL SUPPORT SERVICES IN ORDER TO MAINTAIN AN INDEPENDENT HIGH QUALITY OF LIFE PURSUANT TO THE RULES AND REGULATIONS NOW OR HEREAFTER ADOPTED FOR "ENHANCED HOUSING" PROGRAMS IN THE STATE OF NEW YORK OR WHO REQUIRE ASSISTED LIVING SERVICES; AND TO SERVE PEOPLE OF LIMITED INCOME OR TO OTHERWISE PROVIDE HOUSING, FOOD, AND ESSENTIAL SERVICES TO PERSONS IN NEED. THERE ARE 66 UNITS AVAILABLE FOR ASSISTED LIVING RESIDENTS AND 200 APARTMENTS FOR INDEPENDENT LIVING RESIDENTS. 10 10 236 20 3077 0 163400 789282 14378829 12897292 28466 8343 44715 -7672 14615410 13687245 0 0 0 0 8237132 7387178 0 0 4018 5871594 5915206 14108726 13302384 506684 384861 22734655 21979572 16320218 15180274 6414437 6799298 X DOMINICAN VILLAGE, FOUNDED AND SPONSORED BY THE SISTERS OF ST. DOMINIC OF AMITYVILLE, NEW YORK, IS A NON-FOR-PROFIT, NON-SECTARIAN RENTAL RETIREMENT COMMUNITY AND ASSISTED LIVING RESIDENCE. ITS MISSION IS TO PROVIDE A SUPPORTIVE ENVIRONMENT IN WHICH THE SACREDNESS OF LIFE AND THE DIGNITY OF EACH PERSON ARE HELD IN THE HIGHEST REGARD AND TO OFFER ITS RESIDENTS A CHOICE OF PROGRAMS AND SERVICES WHICH FOSTER INDEPENDENCE, PROMOTE PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL HEALTH, AND MAXIMIZE OPPORTUNITIES FOR SOCIALIZATION. 0 0 11153846 12897292 A HOUSING FACILITY FOR PERSONS WHO, BECAUSE OF AGE, ILLNESS OR INFIRMITY REQUIRE ADDITIONAL SUPPORT SERVICES IN ORDER TO MAINTAIN AN INDEPENDENT HIGH QUALITY OF LIFE PURSUANT TO THE RULES AND REGULATIONS NOW OR HEREAFTER ADOPTED FOR "ENHANCED HOUSING" PROGRAMS IN THE STATE OF NEW YORK OR WHO REQUIRE ASSISTED LIVING SERVICES; AND TO SERVE PEOPLE OF LIMITED INCOME OR TO OTHERWISE PROVIDE HOUSING, FOOD, AND ESSENTIAL SERVICES TO PERSONS IN NEED. THERE ARE 66 UNITS AVAILABLE FOR ASSISTED LIVING RESIDENTS AND 200 APARTMENTS FOR INDEPENDENT LIVING RESIDENTS. 11153846 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 27 0 236 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X TERRI MILONE-CANTILLO 6318413898 565 ALBANY AVENUE AMITYVILLE NY 11701 JOHN DILIBERTO CHAIRMAN 0.50 0.00 X X 0 0 0 JOHN HAIGHT VICE CHAIR 0.50 0.00 X X 0 0 0 VERONICA HENRY PHD SECRETARY TO 9/17/20 0.50 0.00 X X 0 0 0 SUZANNE BREIT TREASURER 0.50 0.00 X X 0 0 0 SCOTT COYNE MD BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 ERIN GIBBONS BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 JOHN HENRY BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 DAVID KOEHLER BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 DAVID KRITZER ESQ BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 TIMOTHY HENZY BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 JOSEPH WALTERS BOARD MEMBER - DIRECTOR 0.50 0.00 X 0 0 0 MAUREEN MUIR OP CHIEF QUAL OFFICER & INTERIM CEO 37.50 0.00 X 117653 0 0 TERRI MILONE-CANTILLO CFO AS OF 5/2020 37.50 0.00 X 75960 0 178 STEVE NECROTO PRESIDENT/CEO 9/14/2020-11/29/2020 37.50 0.00 X 35673 0 94 ERIC KALT PRESIDENT & CEO AS OF 2/12/21 37.50 0.00 X 0 0 0 DAVID PARENT DIR. OF ENVIRONMENTAL SVC. 37.50 0.00 X 121607 0 25537 EMILY MONEM DIR. OF COMMUNITY RELATION 37.50 0.00 X 114277 0 7174 MICHAEL BRATHWAITE ENVIRONMENTAL SERVICES MANAGER 37.50 0.00 X 104782 0 10368 PAUL WASSER FORMER PRESIDENT/CEO TO 6/4/2020 37.50 0.00 X 130693 0 15252 700645 0 58603 5 1 0 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 1310793 PIA CONSULTING & CONTRACTING 194-37 MORRIS AVENUE HOLTSVILLE NY 11742 GENERAL CONTRACTING 228777 JERICHO INTERIORS LTD 26 AUSTIN AVENUE AMITYVILLE NY 11701 CARPETING INSTALLATION 188881 FUSION FACTORS 1000 WEST BROAD STREET QUAKERTOWN PA 18951 CALL BELL SYSTEM INSTALLATION 172257 THE LAWN BARBER PO BOX 794 EASTPORT NY 11941 LANDSCAPING & SNOW REMOVAL 111448 5 49513 736895 2874 789282 HOUSING & SUPPORT 623312 12526350 12526350 OTHER 623312 220463 220463 FEE INCOME 623312 150479 150479 12897292 8343 8343 4900 0 4900 4900 3077 1823 0 49513 12572 -12572 -12572 13687245 12897292 3077 -2406 278507 278507 5204229 4416721 787508 65378 52666 12712 1377642 1107404 269093 1145 461422 374539 86883 190167 190167 72705 72705 150031 90550 59481 119628 102489 15314 1825 475584 295662 179099 823 755751 748194 7557 13375 13375 6070 5281 789 538608 533728 4880 1314064 1300417 13647 364004 360364 3640 FOOD SERVICE 1115872 1096516 19356 REPAIRS AND MAINTENANCE 428075 372425 55650 ENTERTAINMENT FOR RESID 145233 145233 GROUNDS & CARTING 137749 130595 7154 88290 7687 80378 225 13302384 11153846 2144520 4018 3946927 3944763 2000000 2000000 43984 63792 135983 171217 38421644 24589208 14578448 13832436 2029313 1967364 22734655 21979572 743525 606466 1815168 1828185 11992682 11208308 645683 518874 1123160 1018441 16320218 15180274 X 6414437 6799298 6414437 6799298 22734655 21979572 384861 0 X 0 1 X 1 0 X 130330 215345 37319 163400 789282 1335676 12869695 13792062 14427827 14378829 12897292 68365705 13000025 14007407 14465146 14542229 13686574 69701381 0 0 0 69701381 16 1617 18445 28466 10166 58710 8388 5893 4940 1714 3077 24012 8404 7510 23385 30180 13243 82722 13008429 14014917 14488531 14572409 13699817 69784103 0.99880 0.99880 0.00120 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34348976 22132956 12216020 4072668 2456252 1616416 13832436 TENANTS' SECURITY DEPOSITS 839879 BOND REPAYMET FUNDS HELD BY TRUSTEE 796360 DEBT SERVICE RESERVES 331125 1967364 DEFERRED LEASEHOLD RENT EXPENSE 178562 TENANTS' SECURITY DEPOSITS PAYABLE 839879 1018441 X 13687245 0 13687245 0 13687245 13302384 0 13302384 0 13302384 PART X, LINE 2: MANAGEMENT EVALUATED THE VILLAGE'S TAX POSITIONS AND CONCLUDED THAT THE VILLAGE HAD TAKEN NO UNCERTAIN TAX PROVISIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") 740. MONEY IN THE BAG FUNDRAISER 23135 23135 8625 450 MARCH MADNESS FUNDRAISER 7660 7660 700 2 16844 16844 2797 47639 47639 9325 3247 12572 -12572 X 0 0 0 0 0 0 0 0 0 PAUL WASSER FORMER PRESIDENT/CEO TO 6/4/2020 130693 0 0 0 0 0 3277 0 11975 0 145945 0 0 0 A THE TOWN OF BABYLON LD CORPORATION II 056187AA5 2013-12-05 17955000 SEE SUPPLEMENTAL INFORMATION FOR DETAIL 0 0 0 A 7210000 17955000 331295 359100 134447 17130158 2013 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 SCHEDULE K - PART I - LINE A - COLUMN F REFUNDING A PORTION OF THE $17,088,943.36 OUTSTANDING PRINCIPAL AMOUNT OF THE NEW YORK STATE HOUSING FINANCE AGENCY MULTI-FAMILY HOUSING REVENUE BONDS (SECURED MORTGAGE PROGRAM), 2004 SERIES B REFUNDING ALLOCABLE TO FINANCING AND REFINANCING A SENIOR HOUSING COMPLEX CONSISTING OF SIX BUILDINGS AGGREGATING 254,045 SQUARE FEET. SUCH FACILITY IS OPERATING BY DOMINICAN VILLAGE, INC. FOR THE PURPOSE OF PROVIDING HOUSING FACILITIES FOR PERSONS WHO, BECAUSE OF AGE, ILLNESS OR INFIRMITY REQUIRE ADDITIONAL SUPPORT SERVICES IN ORDER TO MAINTAIN AN INDEPENDENT HIGH QUALITY OF LIFE. SISTERS OF THE ORDER OF ST DOMINIC MEMBERS OF SSD ARE BOARD MEMBERS OF DOMINICAN VILLAGE 148000 SEE SCH R 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF DOMINICAN VILLAGE IS THE EXECUTIVE BOARD/CENTRAL COUNCIL OF THE SISTERS OF THE ORDER OF ST. DOMINIC, THE ORGANIZATION'S SPONSOR. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER, EXECUTIVE BOARD/CENTRAL COUNCIL OF THE SISTERS OF THE ORDER OF ST. DOMINIC, IS EXCLUSIVELY RESPONSIBLE TO APPOINT THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER, EXECUTIVE BOARD/CENTRAL COUNCIL OF THE SISTERS OF THE ORDER OF ST. DOMINIC, SHALL BE EXCLUSIVELY RESPONSIBLE: A. TO AMEND THE CORPORATE CHARTER AND AMEND OR ADOPT BY-LAWS; B. TO MERGE OR DISSOLVE THE VILLAGE; C. TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE VILLAGE AND TO FILL VACANCIES ON THE BOARD; D. TO APPROVE THE PURCHASE, SALE, LEASE, MORTGAGE, OR PLEDGE OF THE VILLAGE'S REAL PROPERTY; E. TO APPOINT A CERTIFIED PUBLIC ACCOUNTANT TO PREPARE CERTIFIED AUDITS OF THE VILLAGE'S FINANCING AT SUCH INTERVALS AS THE MEMBER DEEMS APPROPRIATE AND/OR FUNDING SOURCES REQUIRE; F. TO APPROVE THE ANNUAL FINANCIAL STATEMENT AND PROGRAM PLAN SUBMITTED BY THE BOARD OF DIRECTORS OF THE VILLAGE; G. TO APPROVE ANNUAL BUDGETS AND CAPITAL EXPENDITURES PROPOSED BY THE BOARD OF DIRECTORS; AND H. TO APPOINT THE CHIEF EXECUTIVE OFFICER/PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CFO AND PRESIDENT/ CEO. THE FINANCE COMMITTEE OF THE BOARD REVIEWS THE 990 AND PRESENTS IT TO THE EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS AND KEY PERSONS WILL, AT LEAST ANNUALLY, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH THE BOARD SECRETARY. THE BOARD SECRETARY WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIRMAN OF THE BOARD. ALL COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND ALL OTHER DISCLOSURES OF DISCLOSABLE CONFLICTS OF INTEREST THAT RAISE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THAT CREATE THE APPEARANCE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, WILL BE FORWARDED BY THE CHAIRMAN OF THE BOARD TO THE COMMITTEE FOR ITS CONSIDERATION. THE COMMITTEE WILL MAKE A FINAL AND BINDING DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS OR MAY EXIST, AND WHAT COURSE THE ORGANIZATION WILL TAKE IN CONNECTION WITH THE MATTER. THE COMMITTEE WILL CONTEMPORANEOUSLY DOCUMENT IN WRITING IN APPROPRIATE MINUTES OF ANY MEETING AT WHICH THE MATTER IS DELIBERATED OR VOTED UPON ALL DELIBERATIONS AND DETERMINATIONS RELATING THERETO, INCLUDING, AT A MINIMUM, A SUMMARY OF THE MATTER, A SUMMARY OF THE DELIBERATIONS, CONSIDERATION OF ANY ALTERNATIVES, THE VOTE AND THE BASIS FOR THE DETERMINATION, INCLUDING, BUT NOT NECESSARILY LIMITED TO, WHETHER THE MATTER IS AS FAIR AND REASONABLE TO THE ORGANIZATION AS WOULD OTHERWISE THEN BE OBTAINABLE BY THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS REVIEWED INDEPENDENT DATA FOR COMPENSATION OF THE PRESIDENT/CEO AND DOCUMENTED ITS CONCLUSION. OTHER OFFICER'S COMPENSATION IS DETERMINED BY THE CEO AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SISTERS OF THE ORDER OF STDOMINIC 555 ALBANY AVE AMITYVILLE NY 117011197 111635109 SPONSOR NY 501(C)(3) LINE 1 N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0